📿 Medical Pearl Category: USMLE Step 1 > Pathology > Cardiovascular Pathology Acute pericarditis diagnosis is a clinical picture. Suspect it with pleuritic chest pain that improves sitting up and leaning forward. Auscultate carefully for the pathognomonic, scratchy, triphasic pericardial friction rub, often best heard along the left lower sternal border, intensifying with forward lean. Crucially, the ECG typically shows diffuse, concave ST-segment elevation in most leads, accompanied by PR-segment depression, particularly with reciprocal PR elevation in aVR. This specific ECG pattern, in conjunction with the pain and rub, strongly differentiates pericarditis from ischemic cardiac events. Echocardiography helps assess for effusion or tamponade, but the bedside clinical and ECG findings are usually diagnostic. 🎬 Watch the video explanation: youtube.com/watch?v=36ki7njD… 🔗 Learn more: endlessmedical.academy/auth?… #MedStudent #MedStudentTwitter #ClinicalPearl #FOAMed #MedEd #Medicine #ClinicalMedicine @MedTwitJC @MedEdChat @MedEdPortal @MedTwitter @MedPedsJournal @bmaboreddr @MedStudentTwit Dig deeper on this topic at endlessmedical.ai, where multiple AI models debate, cross-check references, and verify calculations to give you the most updated and accurate medical information with minimal hallucinations and errors. References: 1. 2025 ESC Guidelines for the management of myocarditis and pericarditis (Inflammatory Myocardial and Pericardial Syndromes) (2025) (escardio.org/Guidelines/Clin…) 2. A Randomized Trial of Colchicine for Acute Pericarditis (ICAP) (2013) (pubmed.ncbi.nlm.nih.gov/2399…) 3. Pericarditis — NHS (2023) (nhs.uk/conditions/pericardit…) *Generated by AI. May contain errors. Use at own risk. Full disclaimer: endlessmedical.academy/auth?…

📿 Medical Pearl Category: USMLE Step 1 > Pathology > Neuropathology Myasthenic crisis demands urgent, effective immunomodulatory therapy. While intravenous immunoglobulin (IVIG) and plasma exchange (PLEX) are both first-line options, their mechanisms differ. For critically ill patients in a ventilatory-dependent myasthenic crisis, if one modality proves refractory and fails to improve bulbar or respiratory function, immediately switch to the other first-line therapy. Do not re-dose the ineffective treatment. This strategy ensures rapid removal of pathogenic autoantibodies or modulation of the immune response through a different pathway, crucial for preventing prolonged ventilation and improving clinical outcomes. Promptly escalating to the alternative is key. 🎬 Watch the video explanation: youtube.com/watch?v=U29tl3dr… 🔗 Learn more: endlessmedical.academy/auth?… #MedicalEducation #MedTwitter #ClinicalMedicine @NEJM @MedEdChat Dig deeper on this topic at endlessmedical.ai, where multiple AI models debate, cross-check references, and verify calculations to give you the most updated and accurate medical information with minimal hallucinations and errors. References: 1. International Consensus Guidance for Management of Myasthenia Gravis: 2020 Update (2021) (pmc.ncbi.nlm.nih.gov/article…) 2. Intravenous immunoglobulin for myasthenia gravis (2021) (cochrane.org/evidence/CD0022…) 3. FDA approves inebilizumab-cdon (Uplizna) for generalized myasthenia gravis (2025) (mda.org/press-releases/fda-a…) 4. Myasthenia Gravis – NINDS Fact Sheet (2020) (ninds.nih.gov/publications/m…) *Generated by AI. May contain errors. Use at own risk. Full disclaimer: endlessmedical.academy/auth?…

New #MedEdChat blog! More med students. Fewer clinical teachers. Our latest post explores how to motivate & support physician faculty who make #Meded possible. EVUs, tax incentives, and smarter systems—what really works? allianceforclinicaleducation… @admsep @Alliance4ClinEd

This pattern (leg >> arm weakness) points to an Anterior Cerebral Artery (ACA) stroke. Clinical pearl: The subtlest finding—like pronator drift—is often the key to localization. #NeuroTwitter #FOAMed @AANMember @MedEdChat

A.I. and Remote Learning: The End of the Academic Model for Medical Schools? indd.adobe.com/view/426718bb… @MedEdChat @DrQuinnCapers4 @IhabFathiSulima

@Tutiiryani1 Hi, the unroll you asked for: threadreaderapp.com/thread/1… Enjoy :) 🤖

“It is not enough to have a good mind; the main thing is to use it well” —RENE DESCARTES #MedTwitter #Motivation #UsmleCoach #MedEdChat

Happy November!! From >450 med ed pubs in Oct, we picked 3 MUST READS. Content areas: bedside teaching, partnering with pts, & 'time' in med ed. @MedTeachJournal @asmeofficial @ameefacdev @AAMCtoday @acgme @GIMMedEdDoc @CLOSLER @MedEdChat @MedEdPORTAL hopkinsbayviewinternalmedici…

Final third of the year! Time flies. To help you out, we've selected 3 MUST READS from >450 published med ed articles last month; they touch on clin reasoning, unions, & assessments. @MedTeachJournal @AcadMedJournal @mededice @AAMCtoday @ameefacdev @acgme @GIMMedEdDoc @MedEdChat

Lipedema affects 11% of women, yet it's frequently misdiagnosed or dismissed. Improve diagnoses, and support those living with #lipedema #MedStudentTwitter #medstudents #MedEdChat #FutureDocs #medicalstudent #medicine #medicalschool #medstudent #doctor #medschool #premed #medical

#MedEdChat will be on hiatus during the month of July. Our next #mededchat will be the first Thursday in August. Have a safe and fun summer!

#MedEdChat begins in 30 minutes! New to chats? Use this quick guide! #meded

#MedEdChat is live tonight at 9 PM ET/NYC! Join us to discuss this approach to grading #medstudents! Is it better? Can it help with #CBME?

Join #MedEdChat Thursday night to discuss clinical competency committees in #medstudent grading! #meded

Kick off the summer with an exciting chat! Join #MedEdChat on June 6th at 9 PM ET/NYC! #meded #hmicommunity

Are you up for a brainy challenge? 🤔 Test your wits with our Neurological Quiz and see if you can conquer the mysteries of the mind. Leave a comment to join the quest! 💡 🧠 #MedEdChat #MedEd #Neurology

Medical students and doctors from less advantaged socio-economic backgrounds often face specific barriers when navigating education & training which may influence speciality career - and can be unfair. Paper here: sciencedirect.com/science/ar… #MedEd #MedEdChat #EDI

We had an amazing chat this week on this topic in HPE-Global! @ASanchez_PS @hinterlandphpm @aminocte @timdyster Maybe our class could host a #MedEdChat sometime?

Some of my colleagues use #googlevoice on their personal phone to give as a separate number for #meded learners to call use. It’s not secure but it is “free”. Others use it? #MedEdChat

#mededchat T4 by having institutional policies including social media usage and developing ethical frameworks for these #meded